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hello I am dr. IRA byock one of the physicians practicing here at dartmouth-hitchcock Medical Center I want to spend a few minutes talking about advanced directives and why we encourage all of our adult patients to have an advanced directive document on file within their medical records I want to explain what advanced directives are and why they are important to you and your family along the way I hope to dispel misconceptions some people have about advanced directives advanced directives concern how people want decisions about their medical treatment to be made if they have a life-threatening condition who people want to speak for them and what treatments they would want to have or not have sometimes when doctors nurses or social workers bring up the subject of advanced directives patients or their families become worried that it means that their condition is serious and that we know something they do not let me assure you this is not the case at dartmouth-hitchcock Medical Center we